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General NPI Number Information
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NPI Number | 1922924091
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Entity Type | Individual
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Provider Name | DAVID PITTMAN LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 4011 BARBARA LOOP SE STE 101
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City | RIO RANCHO
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State | NM
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Zip | 87124-1040
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Country | US
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Telephone | 505-526-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 4011 BARBARA LOOP SE STE 101
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City | RIO RANCHO
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State | NM
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Zip | 87124-1040
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Country | US
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Telephone | 505-270-5839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2024-1151
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License Number State | NM
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